Individual
LISA A WETHERHOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
33 N 17TH ST, ALLENTOWN, PA 18104-5601
(610) 432-1389
Mailing address
33 N 17TH ST, ALLENTOWN, PA 18104-5601
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE000671L
PA
Other
Enumeration date
10/10/2008
Last updated
10/10/2008
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